in United States, West Virginia

Client in need for Registered Nurse or Health Care Manager for small Primary Care health center in South Charleston, WV. Good phlebotomy, and organizational skills needed. Knowledge of Epic is preferred.  Hours for this position:  M: 7AM - 5PM T: 8AM - 6PM W: 7AM - 12PM

Start Date: 07/26/2021 End Date: 10/25/2021 Duration: 13 weeks Shift: 3x12 Evenings Job Specialty: Cardio IC (Cardiovascular Intensive Care) Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Start Date: 08/02/2021 End Date: 11/01/2021 Duration: 13 weeks Shift: 4x10 Days Job Specialty: OR (Operating Room) Location: Ranson, WV Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.Schedule is Monday-Friday standard business hours. No nights, no weekends and no holidays!Territory is: Central region Kanawha County and surrounding counties including Charleston, WV area. Local travel only.Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member’s level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes intervie

Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.Schedule is Monday-Friday standard business hours.No nights, no weekends and no holidays.Manage region within they reside of western region of West Virginia.Counties: Wood, Wirt, Jackson, Mason, Putnam, Cabell, Lincoln, & Wayne of West Virginia.Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member’s level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company

The Clinical Liaison is clinical leader in the Medicaid plan focusing on integrating member care, clinical coordination, leading the development, implementation and ongoing monitoring of program and quality initiatives to address the needs of Aetna members. They represent the plan and collaborate with State governments, key stakeholders, community organizations, advocacy groups as well as the Medicaid Plan’s Chief Medical Officer and leadership team to enhance the quality of services provided to Aetna members and to ensure adherence to performance targets of the business area.Monday - Friday standard business hours.No nights, no weekends and no holidays!Partners with Plan executive leadership team to provide overall vision and leadership across all Plan activities. Serves as a key resource regarding any issues related to the integration of member care across departments. Consults with Plan executive management regarding physical and behavioral health clinical issues as they relate to medical management (UM, CM, DM) provider and system of care issues, behavioral health and human services system issues including critical stakeholders such as various departments of state government, provider organizations, advocacy organizations, etc. Partners with Aetna Medicaid’s regional psychiatrist(s) to manage and oversee ICM within the health plan. Provides consultation to support physicians at other Medicaid Plans. Participates in organizational planning, including strategic plans, business plans, and new product development. Elicits staff input related to their job functions and leverages errors and failure to reach performance targets as opportunities for organizational learning and improvement. Supports and encourages CM, UM and DM staff to function as interdisciplinary team, with requisite range and depth of subject matter expertise to meet the needs of the covered population. Represents Plan to relevant external stakeholders, such as state government officials, provid

Job DescriptionLeads the successful delivery of analyses and analytic solutions to meet business needs, interacting directly with internal and external clients and colleagues.Will act as analytic team lead and mentor for complex projects involving multiple resources and tasks in support of company objectives directly related to HEDIS.Fundamental ComponentsPerforms applied statistical research and custom analysis of integrated healthcare data, interprets results, and makes recommendations based on analytic findings to business areas.Makes recommendations about data collection methods, metrics definition and evaluation methods.Presents analytic reports to clients and stakeholders.Defines and delivers analytical solutions in support of healthcare business initiatives that drive short and long term objectives.Collaborates with internal and external partners and organizations in the design and execution of analytic studies to answer business and research questions.Designs and conducts analyses and outcome studies using healthcare claims, pharmacy, lab and supplemental HEDIS data sources, employing appropriate research designs and statistical methods.Develops, validates and executes algorithms, statistical models and reporting tools that answer applied research and business questions for internal and external clients.Develops and participates in presentations and consultations to existing and prospective constituents on information services, capabilities and performance results.Stays informed about industry trends, HEDIS, research findings and evaluation methods.Turns analysis into business/customer solutions.Creates business applications to deliver clinical or analytic solutions to constituents.Manages personal resources efficiently to achieve constituent satisfaction.Responsible for project commitments to quality, HEDIS and on-time deliverables.other responsibilities as required

Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.Schedule is Monday-Friday standard business hours. No nights, no weekends and no holidays.Manage territory within region they reside in West Virginia.

Responsibilities:Provide patient care under direction of nursing staffAdminister prescribed medications to patientsSterilize and prepare medical tools and equipmentAssist in the transport of patientsProvide companionship and basic care to patientsMaintain a clean and healthy environment​Qualifications:Valid LPN licenseCPR / BLS certificationFamiliarity with medical terminology and chartingPrevious experience in nursing or patient care a plus (a min of 1 year experience)Ability to build rapport with patientsCompassionate and caring demeanorAbility to work well in teamsPreferred:Experience in a Behavioral Health Facility.

We are seeking a Certified Nurse Assistant to join our team! You will work alongside fellow caregivers to provide high quality patient care.Responsibilities:Provide patient care under direction of nursing staffAdminister prescribed medications to patientsSterilize and prepare medical tools and equipmentAssist in the transport of patientsProvide companionship and basic care to patientsMaintain a clean and healthy environment​Qualifications:Valid CNA licenseCPR / BLS certificationFamiliarity with medical terminology and chartingPrevious experience in nursing or patient care a plusAbility to build rapport with patientsCompassionate and caring demeanorAbility to work well in teamsPreferred:Experience in a hospital preferred.